Individual
DEBORAH R FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
1601 N 2ND ST, SUITE D3, MILLVILLE, NJ 08332-1924
(856) 293-0305
(856) 293-8058
Mailing address
1601 N 2ND ST, SUITE D3, MILLVILLE, NJ 08332-1924
(856) 293-0305
(856) 293-8058
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NN08605200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0005339
—
NJ
Enumeration date
10/26/2011
Last updated
10/26/2011
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